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目的:观察宫腔镜下3种不同手术方式治疗子宫内膜息肉的疗效。方法:对99例不同年龄和不同生育要求的子宫内膜息肉患者分别行子宫内膜息肉切除+子宫内膜电切术(A组,29例)、单纯子宫内膜息肉电切术(B组,44例,要求保留生育功能者)、子宫内膜息肉切除+子宫内膜电凝术(C组,26例,绝经后患者),比较3种术式的疗效。结果:平均手术时间A组(25.1±0.8)s,B组(20.7±0.7)s,C组(26.9±0.7)s,B组平均手术时间较其他两组短,差异有统计学意义(P<0.01);术后A、C组无复发病例,B组复发4例,差异有统计学意义(P<0.05)。结论:宫腔镜下3种手术方式治疗子宫内膜息肉的临床疗效无明显差异,但单纯子宫内膜息肉切除术后复发率高。应根据患者年龄、生育要求等选择适宜的宫腔镜下手术方式。
Objective: To observe the curative effect of hysteroscopic treatment of endometrial polyps by three different surgical methods. Methods: Endometrial polyps resection and endometrial resection were performed in 99 patients with endometrial polyps of different ages and fertility requirements (group A, n = 29), endometrial polyps resection alone (group B , 44 cases, requiring the retention of fertility), endometrial polyps resection + endometrial electrocoagulation (C group, 26 patients, postmenopausal patients), the efficacy of the three kinds of surgery were compared. Results: The mean operative time was significantly shorter in group A (25.1 ± 0.8) s, group B (20.7 ± 0.7) s, group C (26.9 ± 0.7) s, and group B than those in the other two groups <0.01). There were no recurrences in group A and group C after operation. There were 4 cases recurred in group B, with significant difference (P <0.05). Conclusions: The hysteroscopic treatment of endometrial polyps with three surgical methods has no significant difference in clinical efficacy, but the recurrence rate after endometrial polypectomy is high. Should be based on the patient’s age, reproductive requirements such as the choice of appropriate hysteroscopic surgery.